How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $51.29 Median $66.07 Typical High $117.49 | Facility | None | $51.29 | $66.07 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $75.86 | Professional | None | $50.12 | $58.88 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $93.33 | Professional | None | $69.18 | $77.62 | $93.33 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $77.62 | Professional | None | $38.02 | $50.12 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | None | $60.26 | $75.86 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $112.20 | Facility | None | $66.07 | $75.86 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $54.95 Typical High $72.44 | Professional | None | $25.12 | $54.95 | $72.44 |
Sentara Setting Facility Modifier None Typical Low $48.98 Median $114.82 Typical High $7,413.10 | Facility | None | $48.98 | $114.82 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $114.82 | Professional | None | $77.62 | $77.62 | $114.82 |
United Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $831.76 | Facility | None | $338.84 | $371.54 | $831.76 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $60.26 Median $69.18 Typical High $75.86 | Facility | AF · Specialist physician | $60.26 | $69.18 | $75.86 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $44.67 Median $52.48 Typical High $56.23 | Facility | HO · Master's level | $44.67 | $52.48 | $56.23 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $51.29 Median $58.88 Typical High $64.57 | Facility | TD · Registered nurse | $51.29 | $58.88 | $64.57 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $50.12 Median $52.48 Typical High $75.86 | Professional | AF · Specialist physician | $50.12 | $52.48 | $75.86 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $44.67 Median $52.48 Typical High $56.23 | Professional | HO · Master's level | $44.67 | $52.48 | $56.23 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $51.29 Median $58.88 Typical High $64.57 | Professional | TD · Registered nurse | $51.29 | $58.88 | $64.57 |
Where Virginia sits
The same service costs 1.9 times more in North Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 25th of 51
$66.07
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.